The gallbladder has been removed. Mild bile duct dilatation in right hepatic lobe. Fat infiltration and minute amount of fluid in gallbladder fossa, as expected (POD1). Thickened right prerenal fascia.
Solid mass or merged cluster of several enlarged lymph nodes in the hepatic hilum measuring 3.4 x 5.0 x 9.4 (TRV x AP x CC) cm, mildly heterogeneous, isodense to the pancreas, with subtle calcifications, appearing to involve hepatic segment 1 and visually inseparable from the pancreas. The mass surrounds and narrows the portal vein and surrounds the common hepatic artery.
Numerous lymph nodes in different mediastinal stations up to 12 mm in thickness (small axis diameter), including bilateral supraclavicular lymph nodes. Retrocrural lymph nodes up to 8 mm thick; hepatogastric ligament lymph nodes up to 8 mm thick; root of mesentery lymph nodes up to 17 mm thick; numerous bilateral para-aortic lymph nodes up to 16 mm thick, some confluent; right external iliac lymph nodes up to 10 mm thick.
Slightly hypodense focus in hepatic segment 5 measuring 9 mm in diameter, probable metastasis.
1.4 x 1.8 cm node in left adrenal gland, possible metastasis.
Subsegmental atelectasis in lung bases. Minimal pleural effusions.
Tiny enhancing hypodense focus in right kidney, probably benign. Duplex left renal collecting system, with ureters uniting distally.
Enlarged uterus, probably due to fibroids.
Synostosis between T11-T12 vertebral bodies.
Summary:
Large hepatic hilar mass or cluster of enlarged lymph nodes. Metastatic spread to abdominal, mediastinal, and probably right external iliac nodes. Probable solitary liver metastasis and possible left adrenal metastasis.